Acute-on-chronic type B aortic dissection presenting as cauda equina syndrome

Vascular Surgery
Case Report
10.1102/1470-5206.2013.0010
13
47-51
Acute-on-chronic type B aortic dissection presenting as cauda equina syndrome

A 60-year-old woman transferred with suspected cauda equina syndrome lacked lower extremity pulses on arrival. She rapidly developed visceral malperfusion due to underlying type B aortic dissection, necessitating aortic fenestration with thrombectomy. Despite misdiagnosis and delayed treatment, she could ambulate 1 year postoperatively. Aortic dissection remains integral to the differential diagnosis of patients presenting with acute paraparesis.

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Editor-in-Chief

Frank Cross
Consultant Vascular and General Surgeon
The London Clinic, UK

Editors

Neil Barnes
Consultant Physician
Barts Health NHS Trust, London, UK
Ali Jawad
Professor of Rheumatology
Barts Health NHS Trust, London, UK

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